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General NPI Number Information
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NPI Number | 1790291912
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Entity Type | Organization
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Legal Business Name | HOPKINS CARDIOVASCULAR ASSOCIATES LLC
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 2401 UNIVERSITY PKWY STE 204A
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City | SARASOTA
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State | FL
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Zip | 34243-2973
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Country | US
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Telephone | 941-355-5336
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Fax | 941-761-6000
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Provider Business Mailing Address
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Address Line | 2401 UNIVERSITY PKWY STE 204A
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City | SARASOTA
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State | FL
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Zip | 34243-2973
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Country | US
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Telephone | 941-355-5336
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Fax | 941-761-6000
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Authorized Official
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Title or Position | PRESIDENT/FOUNDER
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Name | JORDAN ERIC HOPKINS
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Credential | MD
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Telephone | 941-355-5336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 96050
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License Number State | FL
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